中医药学报2026，Vol.54Issue(9)：1-6,6.DOI:10.19664/j.cnki.1002-2392.260172
"湿浊痰饮类病"理论内涵探微
Exploration of the Theoretical Connotations of"Dampness-Turbidity-Phlegm-Fluid Retention Diseases"
摘要
Abstract
This paper elaborates on the theoretical connotations of Professor Zhang Boli's"Dampness-Turbidity-Phlegm-Fluid Retention Diseases".These disorders often arise from modern lifestyle changes that cause dysfunction in spleen transportation,impaired regulation of the Triple Burner(Sanjiao),and obstacles in lipid metabolism,leading to abnormal body fluid metabolism.Given that dampness,turbidity,phlegm,and fluid retention often intertwine and are difficult to resolve,simply differentiating a single pathogen is insufficient for guiding complex clinical practice.Therefore,it is necessary to explore the nuanced pathological mechanisms where multiple factors intersect.This study focuses on elucidating four complex pathological patterns:the coexistence of dryness and dampness,the intermingling of clear and turbid,the simultaneous pathology of blood and water,and the divergent transformation of qi and fluids.For the coexistence of dryness and dampness,treatment should prioritize nourishing Yin and moistening dryness without aggravating dampness,while resolving phlegm and drying dampness without damaging Yin.In cases of intermingling of clear and turbid,simultaneous ascending of the clear and descending of the turbid is essential.For blood-water co-pathology,therapeutic strategies should follow the principle of"harmonizing with warm-natured medicinals."In scenarios of divergent Qi-fluid transformation,methods to fortify the spleen and uplift Yang are warranted.This study refines the theoretical framework of these disorders,revealing the laws governing their complex pathogenesis,and provides novel insights for the precise diagnosis and treatment of related refractory diseases.关键词
湿浊痰饮类病/张伯礼/名医经验/湿浊/痰饮Key words
Dampness-turbidity-phlegm-fluid retention diseases/Zhang Boli/Distinguished physician's experience/Dampness-turbidity/Phlegm-fluid retention分类
医药卫生引用本文复制引用
黄栊瑢,高丹,路美娟,魏晓玉,徐强.."湿浊痰饮类病"理论内涵探微[J].中医药学报,2026,54(9):1-6,6.基金项目
国家自然科学基金项目(82374195) （82374195）
国家重点研发计划(2018YFC1704102) （2018YFC1704102）
天津市卫生健康委员会中医中西医结合科研项目(2023074) （2023074）
